Individual
JOAN HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1052 W LOYOLA AVE, CHICAGO, IL 60626-5206
(773) 508-2530
Mailing address
1052 W LOYOLA AVE, CHICAGO, IL 60626-5206
(773) 508-2530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.004325
IL
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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